Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,166.00 / $7,513.00	Facility		$488.00	$2,166.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.03 / $272.61 / $406.65	Professional		$223.03	$272.61	$406.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.59 / $281.38 / $288.92	Professional		$245.59	$281.38	$288.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.43 / $480.51 / $878.54	Facility		$204.43	$480.51	$878.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.12 / $318.82 / $454.12	Professional		$243.12	$318.82	$454.12
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $254.37 / $323.79 / $443.46	Professional		$254.37	$323.79	$443.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $212.81 / $212.81 / $256.14	Facility		$212.81	$212.81	$256.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.13 / $172.81 / $229.31	Facility		$159.13	$172.81	$229.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $302.86 / $434.53	Professional		$236.62	$302.86	$434.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $529.73 / $1,224.66 / $1,457.44	Facility		$529.73	$1,224.66	$1,457.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,841.31 / $1,841.31 / $2,268.44	Professional		$1,841.31	$1,841.31	$2,268.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.44 / $288.14 / $395.22	Facility		$251.44	$288.14	$395.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $249.07 / $392.52 / $513.00	Professional		$249.07	$392.52	$513.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $263.35 / $307.29 / $426.74	Professional		$263.35	$307.29	$426.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.57 / $285.81 / $392.19	Facility		$245.57	$285.81	$392.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $238.44 / $322.16 / $506.36	Professional		$238.44	$322.16	$506.36
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,405.00	Facility		$161.00	$952.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.96 / $263.80 / $399.40	Professional		$195.96	$263.80	$399.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.34 / $249.07 / $348.70	Professional		$223.34	$249.07	$348.70